2014-05-15T15:49:44-05:00 2013-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2012-07-01 611345363 FLAGET HEALTHCARE INC FLAG 5023505000 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 COLLEEN HOLTON 2014-05-15 true Pamela Krohn P01210500 3032989100 2012 2015-11-30 17:44:51Z BEVERLY DOWNS 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 84909165 false 0928 X WWW.SJHLEX.ORG/FLAGET X 1951 KY FLAGET HEALTHCARE, INC.'S VISION IS TO BE THE PREMIER, INTEGRATED, COMPREHENSIVE HEALTH SYSTEM IN THE COMMUNITY PROVIDING HIGH QUALITY CARE CLOSE TO HOME, REDUCING THE INCIDENCE OF DISEASE AND ELIMINATING THE INEQUITIES IN ACCESS TO HEALTHCARE. 18 15 583 105 8374 7374 97048 34818 81285751 80294940 1993027 4317061 184361 180796 83560187 84827615 675072 40748 0 0 25001412 23424609 0 0 0 43666182 48366636 69342666 71831993 14217521 12995622 119201969 137547515 22369022 25024196 96832947 112523319 X WE BRING HOPE, IMPROVE HEALTH AND CHANGE LIVES. INSPIRED BY OUR CATHOLIC AND JEWISH FAITH HERITAGE, WE SERVE WITH A SPIRIT OF INNOVATION AND COLLABORATION, TRANSFORM HEALTH CARE DELIVERY, PARTNER TO CREATE HEALTHY COMMUNITIES AND ADVOCATE FOR A JUST HEALTH SYSTEM. false true 57144222 40748 80294940 SEE SCHEDULE H 57144222 true true false true false false false false false true true false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true 2 0 true 583 true true true false false false false false false false false false X 18 15 false false false false true true true true true false false true true true true true true true true false KY X Colleen Holton 5025874710 539 South Fourth Street Louisville KY 40202 BRUCE KLOCKARS 10.00 50.00 X X 0 564715 44649 MELVIN ALEXANDER 20.00 41.00 X X 0 54742 3825 RICHARD SCHULTZ 2.00 4.00 X X 0 0 0 ROBERT HEWETT 3.00 8.00 X X 0 0 0 RUTH WILLIAMS BRINKLEY 5.00 55.00 X X 0 994417 134196 DAVID FENNELL 2.00 5.00 X 0 0 0 DAVID L DUNN 2.00 8.00 X 0 0 0 GERALD TEMES MD 2.00 4.00 X 0 0 0 JANE BURKS 2.00 4.00 X 0 0 0 JANE J CHILES 2.00 4.00 X 0 0 0 LOU ANN ATLAS 2.00 4.00 X 0 0 0 MICHAEL ROWAN FACHE 2.00 58.00 X 0 1652367 220553 MIKE ADES 2.00 4.00 X 0 0 0 MILLER HOFFMAN 2.00 4.00 X 0 0 0 PAUL EDGETT 2.00 58.00 X 0 734377 86500 ROBERT C HUGHES MD 2.00 6.00 X 0 0 0 ROBERT W ROUNSAVALL III 2.00 6.00 X 0 0 0 RUSSELL WILLIAMS MD 2.00 4.00 X 0 0 0 SR ELIZABETH WENDELN 2.00 5.00 X 0 0 0 THOMAS MECHAS MD 2.00 4.00 X 0 10775 0 BEVERLY DOWNS 50.00 1.00 X 227877 0 54952 COLLEEN HOLTON 40.00 20.00 X 0 0 0 GARY ERMERS 5.00 55.00 X 0 559816 68637 RON FARR 2.00 58.00 X 0 802514 115754 SHARON HAGER 1.00 54.00 X 0 383074 32011 TAMMY HOWELL 5.00 55.00 X 0 106301 14575 JOHN BRADFORD 50.00 1.00 X 170496 0 35934 DEBORAH COWLES 50.00 0 X 1907 141815 19404 JENNIFER CLARK 40.00 0 X 146404 0 29950 MICHELLE MATTINGLY 40.00 0 X 145043 0 25568 MONTE MARTIN MD 40.00 0 X 513591 0 40515 RAZA MALIK MD 40.00 0 X 143261 8061 34069 1348579 6012974 961092 12 true true false EAGLE HOSPITAL PHYSICIANS 16000 N DALLAS PKWY STE 450 DALLAS TX 75248 HOSPITALIST SERVICES 1637300 EAG HEALTHCARE LLE 111 CONGRESS AVE STE 400 AUSTIN TX 78701 ANESTHESIA SERVICES 975000 MESSER CONSTRUCTION CO 5158 FISHWICK DR CINCINNATI OH 45216 MOB CONSTRUCTION 497319 KENTUCKY ORTHOPEDIC REHAB LLC 875 PENNSYLVANIA AVE BARDSTOWN KY 40004 THERAPY SERVICES 373300 UNITED SURGICAL ASSOC 1401 HARRODSBURG RD C-100 LEXINGTON KY 40504 RADIATION ONCOLOGY PROF SVCS 353250 18 34818 34818 PATIENT SERVICES 900099 80188177 80188177 RENTAL INCOME 900099 106763 106763 0 0 0 0 0 0 0 80294940 1854180 -447 1854627 0 0 0 0 0 0 0 2544431 0 81550 2544431 -81550 2462881 2462881 0 0 0 CAFETERIA 722100 124447 124447 MEDICAL RECORDS REVENUE/TRANSCRIPTION 541200 29929 29929 SERVICES SOLD 900099 4504 4504 21916 0 8821 13095 180796 84827615 80294940 8374 4489483 40748 40748 0 0 0 489259 489259 0 17534223 16792272 741951 941844 912121 29723 3173184 2918626 254558 1286099 1171379 114720 0 168666 168666 0 0 0 0 9266536 7187384 2079152 0 30489 757 29732 1516095 982116 533979 3467918 2635982 831936 0 1456039 1102388 353651 95231 65824 29407 0 5415 1405 4010 748502 748502 1526523 1526523 2694294 1047362 1646932 520326 32464 487862 UNRELATED BUSINESS TAXES 6221 6221 MEDICAL SUPPLIES 11760789 11754511 6278 BAD DEBTS 9211574 9211574 INTERCOMPANY ALLOCATIONS 3849527 3849527 2042491 538807 1503684 0 71831993 57144222 14687771 0 0 10457 1525 3190425 72154 11809492 10164062 0 0 216850 139015 1286775 1379567 340583 169039 58997531 22155838 32009865 36841693 70324281 85877326 0 0 13241 2903134 119201969 137547515 5257444 3768654 318102 413931 0 0 16793476 20841611 22369022 25024196 X 96832947 112523319 0 0 96832947 112523319 119201969 137547515 X 12995622 3274127 -579377 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 1310 false false false 1310 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $944 AND CATHOLIC HEALTH ASSOCIATION - $366; 2846461 2846461 15864792 3787286 12077506 1057848 317226 740622 29933866 16920874 13012992 9294564 1130452 8164112 36841693 0 0 CHI OIP - FIXED INCOME 42392204 F CHI OIP - EQUITY SECURITIES 43485122 F 85877326 0 INTERCOMPANY PAYABLES 20320822 ACCRUED EXPENSES 520789 20841611 X 0 0 0 0 0 0 0 0 0 0 0 0 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 FLAGET HEALTHCARE, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF KENTUCKYONE HEALTH INC., A RELATED ORGANIZATION. KENTUCKYONE HEALTH INC.'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2013 READS AS FOLLOWS: "MOST OF THE INCOME RECEIVED BY THE SYSTEM AND CERTAIN AFFILIATES IS EXEMPT FROM TAXATION UNDER SECTION 501(A) OF THE IRC. SOME OF ITS SUBSIDIARIES ARE TAXABLE ENTITIES, AND SOME OF THE INCOME RECEIVED BY OTHERWISE EXEMPT ENTITIES, ARE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE SYSTEM FILES FEDERAL INCOME TAX RETURNS AS WELL AS INCOME TAX RETURNS IN KENTUCKY AND INDIANA. ASC 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740 ALSO PROVIDES GUIDANCE ON DESCRIPTION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. MANAGEMENT HAS DONE AN ANALYSIS AND DETERMINED THAT NO AMOUNT NEEDED TO BE RECORDED RELATED TO ASC 740 AT JUNE 30, 2013 AND 2012." true true X false false true true true false true true 9320768 9320768 0.14890 13852482 11957354 1895128 0.03030 898418 898418 0.01440 0 0 24071668 11957354 12114314 0.19360 18 7130 77453 77453 0.00120 2 9 20864 20864 0.00030 0 0.00000 0 0.00000 7 30786 166015 166015 0.00270 27 37925 264332 0 264332 0.00420 27 37925 24336000 11957354 12378646 0.19780 0 0.00000 0 0.00000 1 10250 0 0.00000 0 0.00000 0 0.00000 0 0.00000 1 74 74 0.00000 0 0.00000 2 11034 40712 40712 0.00060 4 21284 40786 0 40786 0.00060 true 9211574 0 18995159 18503833 491326 X true true 1 1 FLAGET MEMORIAL HOSPITAL

4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004

WWW.FLAGET.COM X X X FLAGET MEMORIAL HOSPITAL 1 true X X X X X X X X X 12 true false true X X X X X X X X X X false false true false false true X X X X X X true true X X X X true false true X false false Eligibility criteria for free or discounted care Schedule H, Part I, Line 3c WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO FLAGET HEALTHCARE, INC.) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES IN 17 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. FLAGET HEALTHCARE, INC. BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES. Community benefit report prepared by related organization Schedule H, Part I, Line 6a FLAGET HEALTHCARE, INC. DOES NOT PREPARE ITS OWN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT. HOWEVER, ITS COMMUNITY BENEFIT REPORT IS CONTAINED IN THE REPORT OF A RELATED ORGANIZATION; KENTUCKYONE HEALTH, INC., EIN: 61-1029769 Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE FY 2013 COST REPORT. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/13 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE. BASED ON THAT FORMULA, $51,188,227 /$198,461,132 RESULTS IN A 25.79% COST-TO-CHARGE RATIO. WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 9,211,575 Bad debt expense - methodology used to estimate amount Schedule H, Part III, Line 2 COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 25.79%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. Bad debt expense - methodology used to estimate amount as community benefit Schedule H, Part III, Line 3 FLAGET HEALTHCARE, INC. DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 FLAGET HEALTHCARE, INC. DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF KENTUCYONE HEALTH INC. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "PATIENT RECEIVABLES AND NET PATIENT SERVICE REVENUE ARE DERIVED PRIMARILY FROM PATIENTS WHO RESIDE IN KENTUCKY AND SOUTHERN INDIANA. PATIENT RECEIVABLES CONSIST OF AMOUNTS DUE FROM INDIVIDUAL PATIENTS AND THIRD-PARTY PAYORS, INCLUDING FEDERAL AND STATE PROGRAMS AND COMMERCIAL INSURANCE COMPANIES FOR HEALTH CARE SERVICES RENDERED. MANAGEMENT MAINTAINS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS TO RESERVE FOR ESTIMATED LOSSES BASED ON THE LENGTH OF TIME THE ACCOUNT HAS BEEN PAST DUE AND HISTORICAL COLLECTION EXPERIENCE. IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH ENTITIES, THE PROVISION FOR DOUBTFUL ACCOUNTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE THE SYSTEM ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY. Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. FLAGET HEALTHCARE, INC.'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $18,995,159 TOTAL MEDICARE COSTS: $18,503,833 SURPLUS: $491,326 FLAGET HEALTHCARE, INC. BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS N ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b FLAGET HEALTHCARE, INC., ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES "CHI". CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 16) GOVERNING THE PROCEDURES FOR COLLECTIONS OF PAST DUE ACCOUNTS. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THIS POLICY AND FOLLOW THESE PRACTICES WITH REGARDS TO COLLECTIONS: PROCEDURES CHI ENTITIES WILL FOLLOW STANDARD PROCEDURES IN COLLECTING SELF-PAY BALANCES AS FOLLOWS: PERMISSIBLE COLLECTIONS ACTIVITY EACH FACILITY MUST ADHERE TO THE FOLLOWING REQUIREMENTS IN RELATION TO THE PURSUIT OF SELF-PAY BALANCES: * FAIR PURSUIT. EACH FACILITY SHALL ENSURE THAT ALL PATIENT AND PATIENT GUARANTOR ACCOUNTS ARE PURSUED FAIRLY. * ETHICS AND INTEGRITY. EACH FACILITY SHALL ENSURE THAT ALL COLLECTION ACTIVITIES CONSISTENTLY REFLECT THE HIGHEST STANDARDS OF ETHICS AND INTEGRITY. * REASONABLE PAYMENT TERMS. EACH FACILITY SHALL OFFER REASONABLE PAYMENT SCHEDULES AND TERMS TO EACH PATIENT AND PATIENT GUARANTOR WITH SELF-PAY BALANCES. ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. COLLECTION ACTIVITY MAY BE IN THE FORM OF LETTERS, EMAILS, PHONE CALLS, AND/OR CREDIT REPORTING AND MAY ALSO INCLUDE WAGE GARNISHMENTS, PLACING OF LIENS ON BUILDINGS OR RESIDENCES OTHER THAN PERSONAL RESIDENCES, INITIATION OF LAWSUIT, AND/OR OTHER ACTIONS AS REQUIRED, EXCEPT AS PROHIBITED BY IMPERMISSIBLE COLLECTIONS ACTIONS BELOW. PRE-COLLECTIONS ACTIVITY * TIMING. GENERALLY, ACCOUNTS WILL NOT BE REFERRED TO COLLECTIONS UNTIL THEY ARE 120 DAYS OLD. HOWEVER, IN CIRCUMSTANCES WHERE INVOICES TO NON-MEDICARE PATIENTS ARE RETURNED UNDELIVERED WITH NO KNOWN ADDRESS, THOSE SELF-PAY BALANCES MAY BE REFERRED TO COLLECTIONS PRIOR TO EXPIRATION OF 120 DAYS. * LIMITATIONS - FINANCIAL ASSISTANCE ELIGIBILITY. THE FACILITY SHALL PERFORM A REASONABLE REVIEW OF EACH PATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT (INCLUDING, BUT NOT LIMITED TO, REPORTING THE ACCOUNT TO A COLLECTION AGENCY) TO ENSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH THE FACILITY'S FINANCIAL ASSISTANCE POLICY. THAT REASONABLE REVIEW WILL INCLUDE ONE OR MORE OF THE FOLLOWING: A. NOTIFICATION TO PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON ADMISSION, PRIOR TO DISCHARGE, AND/OR IN THE BILLING PROCESS; B. REVIEW OF FINANCIAL ASSISTANCE APPLICATION SUBMITTED BY OR ON BEHALF OF THE PATIENT; OR C. REVIEW OF THE PATIENT'S ELIGIBILITY USING PATIENT ACCOUNT STATISTICAL SCORING SOFTWARE. * COOPERATING EFFORTS. NO FACILITY SHALL SEND ANY UNPAID SELF-PAY ACCOUNT TO A THIRD-PARTY COLLECTION AGENT AS LONG AS THE PATIENT AND PATIENT GUARANTOR ARE COOPERATING WITH THE FACILITY IN EFFORTS TO SETTLE THE ACCOUNT BALANCE WITHIN A REASONABLE TIME FRAME (GENERALLY 18 MONTHS). * SUBSEQUENT ASSESSMENT. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY ACCOUNT THAT SUBSEQUENTLY IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE SHALL BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO THE FACILITY FOR APPROPRIATE FOLLOW-UP. CHI SHALL DIRECT ITS STAFF AND THIRD-PARTY COLLECTION AGENTS TO CONTINUALLY ASSESS EACH PATIENT AND PATIENT GUARANTOR'S ABILITY TO PAY OR TO BE DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE. COLLECTIONS THE FACILITY MAY USE A THIRD-PARTY COLLECTION AGENT AS A REPRESENTATIVE, ACTING IN THE NAME OF THE FACILITY AND ENGAGED ON A CONTRACTUAL BASIS, FOR THE EXPRESS PURPOSES OF FOLLOWING-UP ON AND POTENTIALLY COLLECTING ANY PATIENT ACCOUNTS RECEIVABLE BALANCES. THE FACILITY SHALL CONTRACTUALLY DEFINE THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY THIRD-PARTY COLLECTION AGENTS. THOSE STANDARDS AND SCOPE OF PRACTICES SHALL BE CONSISTENT WITH THIS POLICY AND SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING: * STATEMENT MESSAGE. THE FACILITY SHALL REQUIRE ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FACILITY OR OTHER FINANCIAL ASSISTANCE PROGRAMS. * ADVANCE SETTLEMENT APPROVALS. THE FACILITY SHALL INSTRUCT ITS THIRD-PARTY COLLECTION AGENTS TO SEEK APPROVAL FROM THE AUTHORIZED AND DESIGNATED FACILITY STAFF MEMBER BEFORE ANY SETTLEMENT, AS A RESULT OF BANKRUPTCY PROCEEDINGS, SHALL BE ACCEPTED. * STANDARDS OF CONDUCT. THE FACILITY SHALL REQUIRE THAT THE THIRD-PARTY COLLECTION AGENTS CONDUCT THEMSELVES IN COMPLIANCE WITH THE HIGHEST STANDARDS OF BUSINESS ETHICS AND INTEGRITY AND APPLICABLE LEGAL REQUIREMENTS, AS REFLECTED IN THE CHI STANDARDS OF CONDUCT, AS MAY BE AMENDED BY CHI, AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.CATHOLICHEALTHINITIATIVES.ORG/CORPORATERESPONSIBILITY. * PROHIBITED COLLECTIONS ACTIONS. THE FACILITY SHALL PROHIBIT THE THIRD-PARTY COLLECTION AGENTS FROM ENGAGING IN PROHIBITED COLLECTIONS ACTIONS AS DEFINED IN IMPERMISSIBLE COLLECTIONS ACTIONS BELOW. * ANNUAL ADHERENCE AUDIT. THE FACILITY OR ITS DESIGNEE SHALL BE PERMITTED TO AUDIT ITS THIRD-PARTY COLLECTION AGENTS AT LEAST ANNUALLY FOR ADHERENCE TO THESE STANDARDS. IMPERMISSIBLE COLLECTIONS ACTIONS CHI ENTITIES SHALL DIRECT THEIR STAFF AND THIRD-PARTY COLLECTION AGENTS THAT THE FOLLOWING ACTIONS ARE ALWAYS PROHIBITED IN RELATION TO THE PURSUIT OF SELF-PAY BALANCES. * UNEMPLOYED WITHOUT SIGNIFICANT INCOME/ASSETS. NO FACILITY SHALL PURSUE ANY LEGAL ACTION FOR NON-PAYMENT OF ANY BILLS AGAINST ANY PATIENT OR PATIENT GUARANTOR WHO IS KNOWN TO BE UNEMPLOYED AND WHO HAS BEEN DETERMINED IN ACCORDANCE WITH CHI STEWARDSHIP POLICY NO. 15, HOSPITAL FINANCIAL ASSISTANCE, ON THE BASIS OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, TO BE WITHOUT SIGNIFICANT INCOME OR ASSETS. * PRINCIPAL RESIDENCE. NO FACILITY SHALL PURSUE ANY LEGAL ACTION AGAINST ANY PATIENT OR PATIENT GUARANTOR BY SEEKING A REMEDY THAT WOULD INVOLVE FORECLOSING UPON THE PRINCIPLE RESIDENCE OF A PATIENT OR PATIENT GUARANTOR, PLACING A LIEN ON THE PRINCIPAL RESIDENCE, TAKING ANY OTHER ACTION THAT COULD RESULT IN THE INVOLUNTARY SALE OR TRANSFER OF SUCH RESIDENCE, OR INFORMING ANY PATIENT OR PATIENT GUARANTOR THAT HE/SHE MAY BE SUBJECT TO ANY SUCH ACTION. * OTHER IMPERMISSIBLE COLLECTION TACTICS. A. NO FACILITY SHALL CHARGE INTEREST ON OUTSTANDING BALANCES; B. NO FACILITY SHALL REQUIRE PATIENTS OR PATIENT GUARANTORS TO INCUR DEBT OR LOANS WITH RECOURSE TO THE PATIENT'S OR GUARANTOR'S PERSONAL OR REAL PROPERTY ASSETS ("RECOURSE INDEBTEDNESS"); AND C. NO FACILITY SHALL INVOKE SO-CALLED "BODY ATTACHMENTS" (I.E., THE ARREST OR JAILING OF PATIENTS IN DEFAULT ON THEIR ACCOUNTS, SUCH AS FOR MISSED COURT APPEARANCES). IN ADDITION TO THE WRITTEN POLICY ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT. Community Served by Needs Assessment Schedule H, Part V Section B, Line 3 (1) FLAGET MEMORIAL HOSPITAL - - PARTNERED WITH THE LINCOLN TRAIL DISTRICT HEALTH DEPARTMENT, WHICH CONDUCTED SURVEYS OF THE COMMUNITY - HELD TWO COMMUNITY FORUMS - CONDUCTED TWO PHYSICIAN FOCUS GROUPS - CONDUCTED 15 KEY INFORMANT INTERVIEWS - ENGAGED BKD, LLP TO ASSIST WITH COMPILING SECONDARY DATA AND PRIORITIZING IDENTIFIED HEALTH NEEDS; Needs not addressed in Needs Assessment Schedule H, Part V Section B, Line 7 (1) FLAGET MEMORIAL HOSPITAL - THE HOSPITAL DID NOT ADDRESS ALL THE NEEDS IDENTIFIED IN THE CHNA GIVEN THE HOSPITAL'S RESOURCES AND SCOPE OF EXPERTISE. THE METHODICAL PROCESS USED BY THE HOSPITAL TO IDENTIFY COMMUNITY HEALTH NEEDS REVEALED FIFTEEN HEALTH ISSUES, WHICH ARE OUTLINED IN OUR CHNA. AMONG THE LIST OF FIFTEEN HEALTH ISSUES, AND IN LIGHT OF THE HOSPITAL'S RESOURCES AND SCOPE OF EXPERTISE, THE HOSPITAL CHOSE TO ADDRESS THREE "PRIORITY" HEALTH NEEDS: CANCER, PHYSICAL INACTIVITY/ADULT OBESITY, AND ADULT SMOKING. THE HOSPITAL IS COMMITTED TO ADDRESSING THESE NEEDS AS THEY ARE AMONG THE MOST PRESSING.; Used federal poverty guidelines (FPG) to determine eligibility Schedule H, Part V Section B, Line 10 (1) FLAGET MEMORIAL HOSPITAL - HUD LOW INCOME GUIDELINES USED.; Used FPG to determine eligibility for providing discounted care criteria Schedule H, Part V Section B, Line 11 (1) FLAGET MEMORIAL HOSPITAL - HUD LOW INCOME GUIDELINES USED.; LINES 2, 3, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION SCHEDULE H, PART VI ORGANIZATION'S MISSION, VISION & TAX-EXEMPT PURPOSE FLAGET HEALTHCARE, INC. ("FHC") WAS OPENED IN 1951 AS A RESULT OF THE DETERMINATION OF THE SISTERS OF CHARITY OF NAZARETH WHO PIONEERED THE DEVELOPMENT OF HEALTH CARE INSTITUTIONS IN KENTUCKY. TODAY, IT IS A 52-BED HOSPITAL LOCATED IN BARDSTOWN OFFERING A FULL RANGE OF SERVICES INCLUDING CANCER CARE, ORTHOPEDICS, WOMEN'S CARE, WEIGHT LOSS SURGERY AND OUTPATIENT AND PRIMARY CARE. SINCE ITS INCEPTION, FHC HAS BEEN COMMITTED TO SERVING THE POOR AND DISADVANTAGED. FLAGET'S COLLABORATIVE EFFORTS WITH THE COMMUNITY WORK TO CREATE HEALTHIER COMMUNITIES. FHC IS PART OF KENTUCKYONE HEALTH, THE LARGEST HEALTH SYSTEM IN KENTUCKY WITH MORE THAN 200 LOCATIONS INCLUDING HOSPITALS, OUTPATIENT FACILITIES AND PHYSICIAN OFFICES, AND MORE THAN 3,100 LICENSED BEDS. AN 18-MEMBER VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, ITS FACILITIES AND OPERATIONS, WITH THIS MISSION: WE BRING HOPE, IMPROVE HEALTH AND CHANGE LIVES. INSPIRED BY OUR CATHOLIC AND JEWISH FAITH HERITAGE, WE: - SERVE WITH A SPIRIT OF INNOVATION AND COLLABORATION - TRANSFORM HEALTH CARE DELIVERY - PARTNER TO CREATE HEALTHY COMMUNITIES - ADVOCATE FOR A JUST HEALTH SYSTEM FHC OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THAT EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. FHC HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM. FHC IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. COMMUNITY BENEFIT APPROACH LOCATED IN BARDSTOWN, KENTUCKY, FHC SERVES THOSE FROM NELSON, WASHINGTON, SPENCER, BULLITT AND LARUE COUNTIES. HOWEVER, 75.5% OF THE HOSPITAL'S DISCHARGES IN 2011 WERE RESIDENTS OF NELSON COUNTY. ACCORDING TO THE 2010 U.S. CENSUS BUREAU, THE MEDIAN HOUSEHOLD INCOME IS $45,149, JUST ABOVE THE STATE'S MEDIAN INCOME OF $42,248, BUT BELOW THE NATION'S INCOME OF $52,762. THE U.S. CENSUS BUREAU ALSO REPORTS THAT 14.9% OF THE RESIDENTS OF NELSON COUNTY LIVE BELOW THE POVERTY LEVEL, COMPARABLE TO THE NATIONAL AVERAGE OF 14.3%. IN ADDITION, 16.0% OF NELSON COUNTY'S CHILDREN LIVE IN POVERTY. THE RACE/ETHNICITY OF NELSON COUNTY IS 92.8% WHITE NON-HISPANIC. THE UNEMPLOYMENT RATE IN NELSON COUNTY IN 2012 WAS 8.7%, ABOVE THE STATE'S AVERAGE OF 8.2%. COMMUNITY OUTREACH FOR THE POOR PRESCRIPTION ASSISTANCE PROGRAM FHC HAS A DEDICATED EMPLOYEE WHO COORDINATES THE PRESCRIPTION ASSISTANCE PROGRAM, WHICH SERVES PEOPLE WHO OTHERWISE COULD NOT AFFORD TO PAY FOR THEIR PRESCRIPTION MEDICATIONS. BY UTILIZING THE ASSISTANCE OPTIONS THROUGH PHARMACEUTICAL COMPANIES, THE PROGRAM IS ABLE TO ENSURE PATIENTS GET THE MEDICATIONS THEY NEED AT NO COST. THIS ENABLES THE PATIENTS TO BETTER MANAGE THEIR HEALTH AND AVOIDS UNNECESSARY UTILIZATION OF HIGH COST EMERGENCY DEPARTMENT SERVICES. NELSON COUNTY COMMUNITY CLINIC THE NELSON COUNTY COMMUNITY CLINIC (NCCC) IS A VITAL SAFETY NET FOR NELSON COUNTY RESIDENTS WHO ARE EMPLOYED BUT HAVE NO HEALTH INSURANCE. INCOME-ELIGIBLE RESIDENTS HAVE ACCESS TO AN ARRAY OF FREE SERVICES, INCLUDING MEDICAL CARE, BASIC DENTAL CARE, LAB TESTS, EYE EXAMS AND FREE MEDICATIONS. HALF OF THE APPROXIMATELY 110 VOLUNTEERS, WHO STAFF THE CLINIC, ARE FHC EMPLOYEES. THE CLINIC WAS STARTED IN 2006 WITH A $278,000 GRANT FROM FHC'S SPONSOR ORGANIZATION, CATHOLIC HEALTH INITIATIVES. FLHC DONATED $10,000 TO THE NCCC IN FY 2013. DONATION OF SUPPLIES & EQUIPMENT FHC PARTNERS WITH SUPPLIES OVER SEAS (SOS), WHICH OFFERS AN ENVIRONMENTALLY-FRIENDLY AND COST-EFFECTIVE WAY OF DEALING WITH SURPLUS MEDICAL PRODUCTS WHILE SIMULTANEOUSLY HELPING PEOPLE IN DESPERATE NEED. SOS RELIES ON THESE PRODUCT DONATIONS TO SUPPLY THEIR QUALIFIED RECIPIENT INSTITUTIONS IN THE ECONOMICALLY DEVELOPING WORLD WITH A WIDE VARIETY OF EQUIPMENT AND SUPPLIES. LINES 2, 3, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION SCHEDULE H, PART VI COMMUNITY OUTREACH FOR THE BROADER COMMUNITY CANCER CENTER FREE SCREENINGS THE FHC CANCER CENTER OFFERS STATE-OF-THE-ART RADIATION AND MEDICAL ONCOLOGY FROM PROFESSIONAL, COMPASSIONATE PHYSICIANS AND A FULL SUPPORT TEAM. THROUGH PARTNERS SUCH AS THE SUSAN G. KOMEN FOUNDATION, THE CANCER CENTER OFFERS A VARIETY OF FREE AND/OR REDUCED-COST SCREENINGS THROUGHOUT THE YEAR TO PROMOTE COMMUNITY EDUCATION, EARLY DETECTION AND TREATMENT OF LUNG, COLON, BREAST, SKIN, AND OTHER TYPES OF CANCERS. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY KENTUCKY BOURBON FESTIVAL (FIRST AID) FHC EMPLOYEES STAFF THE FIRST AID STATION AT THE ANNUAL "KENTUCKY BOURBON FESTIVAL", WHICH OCCURS IN THE FALL. THE FESTIVAL DRAWS OVER 50,000. COMMUNITY HEALTH AND WELLNESS FAIR(S) FHC'S HEALTH AND WELLNESS FAIR BROUGHT TOGETHER 39 COMMUNITY HEALTH ORGANIZATIONS AND SERVED OVER 400 PEOPLE. THE HOSPITAL HAD OVER 20 PROGRAMS REPRESENTED AT THE FAIR. SCREENINGS WERE OFFERED SUCH AS BLOOD PRESSURE, CHOLESTEROL, BLOOD SUGAR, EYE AND DENTAL, AS WERE SPINAL ASSESSMENTS AND BMI CALCULATIONS. FHC ALSO PARTICIPATES IN OTHER HEALTH FAIRS OFFERED THROUGHOUT NELSON AND CONTIGUOUS COUNTIES OFFERING COMMUNITY EDUCATION AND SELECT SCREENINGS. BABY FAIR THE ANNUAL BABY FAIR IS ORGANIZED BY FHC EMPLOYEES WITH THE SUPPORT OF LOCAL COMMUNITY PARTNERS. THE PROGRAM IS DESIGNED TO EMPOWER MOTHERS WITH THE KNOWLEDGE AND RESOURCES THEY NEED IN THE CARE OF THEIR NEWBORNS, INFANTS AND TODDLERS. THE FAIR INCLUDED EDUCATIONAL OPPORTUNITIES ON TOPICS SUCH AS BREASTFEEDING, EPIDURALS, POST-PARTUM BLUES, CHILDBIRTH WITH CONFIDENCE, AND KANGAROO CARE. EDUCATION OF MEDICAL/PARAMEDICAL PROFESSIONALS FHC PROVIDES A CLINICAL SITE FOR HEALTH CARE PROFESSIONALS, INCLUDING STUDENTS PURSUING CAREERS IN NURSING, SURGICAL AND IMAGING SERVICES. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH FHC PARTNERS WITH THE FOLLOWING ORGANIZATIONS IN A COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITIES: LINCOLN TRAIL DISTRICT HEALTH DEPARTMENT, LOCAL PARISHES/CHURCHES AND THE BARDSTOWN/NELSON COUNTY MINISTERIAL ASSOCIATION, NELSON COUNTY MENTAL HEALTH COALITION, BARDSTOWN CHAMBER OF COMMERCE, ST. VINCENT DE PAUL SOCIETY, AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, COMMUNITY ACTION AND MARCH OF DIMES. FHC'S "GO RED FOR WOMEN" CAMPAIGN THROUGH THE AMERICAN HEART ASSOCIATION INCLUDED A PRESENTATION FROM DR. MARK ABRAMOVICH ON THE TOPICS OF CARDIAC HEALTH, WEIGHT CONTROL, GENETICS AND HYPERLIPIDEMIA. THE HOSPITAL DONATED $5,000 TO THE AMERICAN HEART ASSOCIATION. IN SUPPORT OF THE AMERICAN CANCER SOCIETY'S "RELAY FOR LIFE" EVENT, FHC DONATED $5,500. FHC WAS ALSO THE LEADING SPONSOR IN THE MARCH FOR DIMES "MARCH FOR BABIES" EVENT DONATING MORE THAN $6,500. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 FLAGET HEALTHCARE, INC., ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES "CHI". CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 15) GOVERNING THE PROCEDURES FOR DETERMINING AND INFORMING PATIENTS ABOUT THE ENTITY'S FINANCIAL ASSISTANCE POLICY. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THE POLICY. THE POLICY STATES THE ORGANIZATION WILL INCLUDE INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, FLAGET HEALTHCARE, INC. PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN FLAGET HEALTHCARE, INC. OUTPATIENT FACILITIES. IN ADDITION, FLAGET HEALTHCARE, INC. REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER FLAGET HEALTHCARE, INC.'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. FLAGET HEALTHCARE, INC. REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON ENGLISH-SPEAKING INDIVIDUALS. FLAGET HEALTHCARE, INC.'S STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. Affiliated health care system Schedule H, Part VI, Line 6 FLAGET HEALTHCARE, INC., ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $762 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2013 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES - INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN -- PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. FLAGET HEALTHCARE, INC. OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE FLAGET MEMORIAL HOSPITAL FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE BARDSTOWN, KENTUCKY COMMUNITIES. State filing of community benefit report Schedule H, Part VI, Line 7 KY true AMERICAN CANCER SOCIETY 1100 IRELAND WAY SUITE 300 BIRMINGHAM AL 35205 640329009 501(C)(3) 6500 RELAY FOR LIFE SPONSOR NELSON CO COMMUNITY CLINIC 138 ROBIN DRIVE BARDSTOWN KY 40004 204876401 501(C)(3) 10000 DINNER WITH AUCTION; 5K 2 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 THE ORGANIZATION ONLY MADE GRANTS TO 501(C)(3) ORGANIZATIONS. UPON PROVIDING SATISFACTORY WRITTEN EVIDENCE THAT THE FUNDS WERE USED FOR THE PUPOSE THE GRANT WAS MADE, THE HOSPITAL RELEASES THE RESTRICTION AND THE FUNDS ARE TRANSFERRED. X X true true false false false false false false false BEVERLY DOWNS 192224 0 23618 0 12035 0 41420 0 13532 0 282829 0 0 0 BRUCE KLOCKARS 0 431476 0 61455 0 71784 0 30596 0 14053 0 609364 0 0 DEBORAH COWLES 1907 85993 0 12493 0 43329 12910 0 0 6494 14817 148309 0 0 GARY ERMERS 0 248822 0 38290 0 272704 0 48198 0 20439 0 628453 0 32217 JENNIFER CLARK 146122 0 0 0 282 0 10804 0 19146 0 176354 0 0 0 JOHN BRADFORD 153768 0 16071 0 657 0 18186 0 17748 0 206430 0 0 0 MICHAEL ROWAN FACHE 0 1010071 0 468458 0 173838 0 201012 0 19541 0 1872920 0 150422 MICHELLE MATTINGLY 137536 0 7328 0 179 0 13826 0 11742 0 170611 0 0 0 MONTE MARTIN MD 443938 0 68788 0 865 0 20596 0 19919 0 554106 0 0 0 PAUL EDGETT 0 440982 0 214258 0 79137 0 64715 0 21785 0 820877 0 57444 RAZA MALIK MD 142784 8061 0 0 477 0 14408 0 19661 0 177330 8061 0 0 RON FARR 0 437424 0 5000 0 360090 0 108055 0 7699 0 918268 0 289263 RUTH WILLIAMS BRINKLEY 0 816304 0 90508 0 87605 0 126221 0 7975 0 1128613 0 0 SHARON HAGER 0 289225 0 73384 0 20465 0 23096 0 8915 0 415085 0 0 COMPENSATION OF TOP MANAGEMENT OFFICIAL SCHEDULE J, PART I, LINE 3 THE ORGANIZATION USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT AND (2) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Severance or change-of-control payment Schedule J, Part I, Line 4a POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CATHOLIC HEALTH INITIATIVES (A RELATED ORGANIZATION) DURING THE 2012 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: GARY ERMERS $152,350 Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b DURING THE 2012 CALENDAR YEAR, CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: PAUL EDGETT, GARY ERMERS, MICHAEL ROWAN, BRUCE KLOCKARS, BEVERLY DOWNS, RUTH WILLIAMS-BRINKLEY, MELVIN ALEXANDER, BEVERLY WEBER DURING 2012, THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: PAUL EDGETT - $36,619, GARY ERMERS - $20,102, MICHAEL ROWAN - $177,916, BEVERLY DOWNS - $17,441, RUTH WILLIAMS-BRINKLEY - $103,125, MELVIN ALEXANDER - $3,825 DURING 2012, THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: PAUL EDGETT - $57,444, GARY ERMERS - $32,217, MICHAEL ROWAN - $150,422 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2012 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2012, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: BRUCE KLOCKARS - $38,453 DURING THE 2012 CALENDAR YEAR JEWISH HOSPITAL AND ST. MARY'S HEALTHCARE ("JHSMH"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: RONDAL FARR DURING 2012 THE FOLLOWING CONTRIBUTIONS WERE MADE BY JHSMH TO THE DEFERRED COMPENSATION PLAN: RONALD FARR - $75,000 DURING 2012 THE DEFERRED COMPENSATION PLANS FULLY VESTED AND WERE INCLUDED AS COMPENSATION IN THE 2012 FORM W-2 FOR THE FOLLOWING INDIVIDUALS. THE AMOUNTS REPORTED BELOW ARE THE AMOUNTS INCLUDED IN 2012 INCOME AND NOT NECESSARILY THE AMOUNT DISTRIBUTED DURING 2012 FROM THE COMPENSATION PLAN: RONALD FARR - $364,263 Significant changes in program services Form 990, Part III, Line 3 DURING THE FISCAL YEAR ENDING JUNE, 30 2013, FLAGET HEALTHCARE, INC. TRANSFERRED THEIR HOSPICE DIVISIONS TO SAINT JOSEPH-ANC HOME CARE SERVICES, LLC, A RELATED FOR-PROFIT ORGANIZATION. THE CONSOLIDATION OF THE HOSPICE OPERATION WILL BETTER SERVE THE COMMUNITY'S HOSPICE NEEDS BY REDUCING VARIATIONS IN CLINICAL OUTCOMES, LOWERING THE COST OF ADMINISTRATIVE AND BACK OFFICE SERVICES, ENHANCING GROWTH THROUGH THE STANDARDIZED MARKETING PROGRAM, AND IMPROVING OVERALL CORPORATE COMPLIANCE THROUGH STANDARDIZATION AND REVIEW. Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a PURSUANT TO SECTION 7.1 OF THE BYLAWS OF FLAGET HEALTHCARE, INC., THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THESE BYLAWS, THE BOARD OF DIRECTORS MAY SET THE QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST TWO (2) DIRECTORS OF THE CORPORATION. COMMITTEES MAY INCLUDE PERSONS OTHER THAN DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE REPORTED TO THE FULL BOARD OF DIRECTORS, BUT ACTIONS OF COMMITTEES WHICH INCLUDE PERSONS OTHER THAN DIRECTORS SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE SOLE MEMBER OF THE ORGANIZATION IS KENTUCKYONE HEALTH INC., A KENTUCKY NONPROFIT CORPORATION. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b FLAGET HEALTHCARE, INC'S CORPORATE MEMBER IS KENTUCKYONE HEALTH, INC. PURSUANT TO SECTION 4.4.1 OF THE ORGANIZATION'S BYLAWS, NEITHER THE BOARD NOR ANY OFFICER OR EMPLOYEE OF THE CORPORATION NOR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION SHALL TAKE ANY ACTION EITHER IN CONTRADICTION OF ANY OF THE FOREGOING POWERS, OR WITHOUT FIRST HAVING SECURED THE NECESSARY APPROVALS OR GIVEN THE APPROPRIATE NOTIFICATIONS AS MAY BE REQUIRED BY THESE BYLAWS. IN ADDITION, PURSUANT TO SECTION 4.4.2 OF THE ORGANIZATION'S BYLAWS, IN EXERCISE OF ITS APPROVAL POWERS, THE CORPORATE MEMBER MAY GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT OF THE CORPORATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE INTERIM CFO AND AN ELECTRONIC COPY IS PROVIDED TO EACH MEMBER OF THE BOARD. AFTER THE RETURN IS REVIEWED BY THE INTERIM CFO, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NONSUBSTANTIVE CHANGES NECESSARY THAT EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RESUBMITTED TO THE BOARD. SUBSEQUENT TO THE RETURN BEING FILED, THE PRESIDENT/CEO OF KENTUCKYONE HEALTH, INC., THE SOLE MEMBER OF THE ORGANIZATION, PRESENTS THE RETURN AT A FLAGET HEALTHCARE, INC. BOARD MEETING. Conflict of interest policy Form 990, Part VI, Section B, Line 12c CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE FACILITY PRESIDENT AND THEN PRESENTED TO THE BOARD CHAIR FOR DIRECTORS AND BOARD MEMBERS. THE PROCESS OF RESOLVING POTENTIAL CONFLICTS BEGINS WHEN THE PRESIDENT PRESENTS THE INFORMATION TO THE BOARD CHAIR. THE BOARD CHAIR FURTHER INVESTIGATES AND REPORTS TO THE EXECUTIVE COMMITTEE OF THE BOARD FOR FINAL DETERMINATION. FOR EMPLOYEES, CONFLICT DISCLOSURE STATEMENTS ARE REVIEWED BY HUMAN RESOURCES AND THE PRESIDENT IF THERE ARE POTENTIAL CONFLICTS. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a THE TOP MANAGEMENT OFFICIAL'S COMPENSATION IS PAID BY THE ORGANIZATION. EXECUTIVE LEADERSHIP COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE TO THE BOARD. AN OUTSIDE CONSULTANT PROVIDED COMPARATIVE DATA BASED ON BASE COMPENSATION, TOTAL COMPENSATION, AND EXECUTIVE BENEFITS. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b COMPENSATION OF OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION'S EXECUTIVE LEADERSHIP COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE TO THE BOARD. AN OUTSIDE CONSULTANT PROVIDED COMPARATIVE DATA BASED ON BASE COMPENSATION, TOTAL COMPENSATION, AND EXECUTIVE BENEFITS. PHYSICIAN COMPENSATION IS REVIEWED AND APPROVED BY PLC, MANAGEMENT PTRC, BOARD PTRC, AND ULTIMATELY THE FULL BOARD. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. Other Expenses Form 990, Part IX, Line 11g CONTRACT LABOR - TOTAL EXPENSE: 3240379, PROGRAM SERVICE EXPENSE: 3202521, MANAGEMENT AND GENERAL EXPENSES: 37858, FUNDRAISING EXPENSES: ; CONTRACT SERVICES - TOTAL EXPENSE: 5791794, PROGRAM SERVICE EXPENSE: 3789149, MANAGEMENT AND GENERAL EXPENSES: 2002645, FUNDRAISING EXPENSES: ; PURCHASED SERVICES - TOTAL EXPENSE: 190255, PROGRAM SERVICE EXPENSE: 151606, MANAGEMENT AND GENERAL EXPENSES: 38649, FUNDRAISING EXPENSES: ; MEDICAL DIRECTOR FEES - TOTAL EXPENSE: 44108, PROGRAM SERVICE EXPENSE: 44108, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; Other changes in net assets or fund balances Form 990 , Part XI, Line 9 CAPITAL RESOURCE POOL - -572532; CHI CONNECT DEPRECIATION - 49135; SALE OF HOSPICE DIVISION - -55980; FLAGET RADIATION ONCOLOGY LLC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 611345363 ONCOLOGY KY 0 0 FHC ALEGENT CREIGHTON CLINIC 12809 WEST DODGE ROAD OMAHA NE 68154 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT CREIGHTON HEALTH 12809 WEST DODGE ROAD OMAHA NE 68154 HEALTHCARE NE 501(C)(3) 3 NA true ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA NE 68124 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 HEALTHCARE IA 501(C)(3) 3 AHIMC true ALEGENT HEALTH FOUNDATION 12809 WEST DODGE ROAD OMAHA NE 68154 FUNDRAISING NE 501(C)(3) 7 ACH true ALEGENT HEALTH IMMANUEL MEDICAL CENTER 6901 NORTH 72ND STREET OMAHA NE 68122 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE 104 W 17TH STREET SCHUYLER NE 68661 HEALTHCARE NE 501(C)(3) 3 AHIMC true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 HEALTHCARE IA 501(C)(3) 3 AHBMHS true ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS MN 56345 LTERM CARE MN 501(C)(3) 9 CHI true APPLETREE COURT 601 OAK STREET BRECKENRIDGE MN 56520 SENIOR HOMES MN 501(C)(3) 9 SFH true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES IA 50314 LTERM CARE IA 501(C)(3) 9 CHI-IA CORP true BORNEMANN HEALTH CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON ND 58421 HEALTHCARE ND 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 9 NA true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 FUNDRAISING CO 501(C)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 FUNDRAISING CO 501(C)(3) 9 CHI true CATHOLIC HEALTH INITIATIVES-COLORADO 188 INVERNESS DRIVE WEST SUITE 500 ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES 1111 6TH AVENUE DES MOINES IA 50314 HEALTHCARE IA 501(C)(3) 3 CHI true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG OR 97470 PHYSICIANS OR 501(C)(3) 9 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 SURGERY CNTR KS 501(C)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY SOUTH FARGO ND 58104 HEALTHCARE ND 501(C)(3) 9 CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER KY 41018 HEALTHCARE KY 501(C)(3) 11 - Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 9 CHI NHC true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CHI NEBRASKA 6940 O STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 11 - Type I CHI true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 DIALYSIS OH 501(C)(2) N/A GSH true COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 FUNDRAISING IA 501(C)(3) 11 - Type I AHCMH true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DRIVE LEXINGTON KY 40509 LTACH KY 501(C)(3) 3 SJHS true COVENANT HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HOME HEALTH PA 501(C)(3) 11 - Type II NA true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVENUE ENUMCLAW WA 98022 HEALTHCARE WA 501(C)(3) 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 HEALTHCARE KY 501(C)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 FUNDRAISING KY 501(C)(3) 11 - Type I FH true FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA WA 98405 FUNDRAISING WA 501(C)(3) 9 FHS true FRANCISCAN HEALTH SYSTEM 1717 SOUTH J STREET TACOMA WA 98405 HEALTHCARE WA 501(C)(3) 3 CHI true FRANCISCAN MEDICAL GROUP 1708 SOUTH YAKIMA AVENUE TACOMA WA 98405 HEALTHCARE WA 501(C)(3) 9 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE 3601 SOUTH CHICAGO AVENUE SOUTH MILWAUKEE WI 53172 HEALTHCARE WI 501(C)(3) 9 CHI true GETTYSBURG MEDICAL CENTER 606 EAST GARFIELD AVENUE GETTYSBURG SD 57442 HEALTHCARE SD 501(C)(3) 3 SMHC true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 MINISTRIES CO 501(C)(3) 11 - Type I CHI true GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 EDUCATION OH 501(C)(3) 2 GSH true GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 FUNDRAISING OH 501(C)(3) 11 - Type I GSH true GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST STREET KEARNEY NE 68847 FUNDRAISING NE 501(C)(3) 7 GSH true ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK 6624 FANNIN HOUSTON TX 77030 PHY PRACTICES TX 501(C)(3) 3 SLHS true HEALTH SET 4200 WEST CONEJOS PLACE 436 DENVER CO 80204 LOW INC.CARE CO 501(C)(3) 7 CHIC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 FUNDRAISING MN 501(C)(3) 11 - Type I SFMC true HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 HEALTHCARE WA 501(C)(3) 3 FHS true HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL 7601 OSLER DRIVE TOWSON MD 21204 HEALTHCARE MD 501(C)(3) 9 SJMC true HOUSE OF MERCY 1111 6TH AVENUE DES MOINES IA 50314 SHELTER IA 501(C)(3) 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 539 S 4TH STREET LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 3 KOH true JEWISH PHYSICIAN GROUP INC 539 S 4TH STREET LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 9 JHSMH true KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 9 CHI true LAKEWOOD HEALTH CENTER 600 MAIN AVENUE SOUTH BAUDETTE MN 56623 HEALTHCARE MN 501(C)(3) 3 CHI true LINUS OAKES INC 2700 STEWART PARKWAY ROSEBURG OR 97470 SENIOR LIVING OR 501(C)(3) 9 MMC true LISBON AREA HEALTH SERVICES 905 MAIN STREET LISBON ND 58054 HEALTHCARE ND 501(C)(3) 3 CHI true MEMORIAL HEALTH CARE SYSTEM FOUNDATION 2525 DE SALES AVENUE CHATTANOOGA TN 37404 FUNDRAISING TN 501(C)(3) 7 MHCS true MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVENUE CHATTANOOGA TN 37404 HEALTHCARE TN 501(C)(3) 3 CHI true MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD ROAD SUITE 500 CHATTANOOGA TN 37411 HEALTHCARE TN 501(C)(3) 9 MHCS true MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVENUE DES MOINES IA 50314 AUXILIARY IA 501(C)(3) 11 - Type I CHI-IA CORP true MERCY CLINICS INC 1111 6TH AVENUE DES MOINES IA 50314 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP true MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVENUE DES MOINES IA 50314 EDUCATION IA 501(C)(3) 2 CHI-IA CORP true MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVENUE DES MOINES IA 50314 FUNDRAISING IA 501(C)(3) 7 CHI-IA CORP true MERCY FOUNDATION INC 2700 STEWART PARKWAY ROSEBURG OR 97470 FUNDRAISING OR 501(C)(3) 7 MMC true MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 FUNDRAISING NE 501(C)(3) 11 - Type I AHMH true MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BOULEVARD VALLEY CITY ND 58072 FUNDRAISING ND 501(C)(3) 11 - Type III - FI MHVC true MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DRIVE COUNCIL BLUFFS IA 51503 FUNDRAISING IA 501(C)(3) 11 - Type I AHBMHS true MERCY HOSPITAL OF DEVILS LAKE 1031 SEVENTH STREET NE DEVILS LAKE ND 58301 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 SEVENTH STREET NE DEVILS LAKE ND 58301 FUNDRAISING ND 501(C)(3) 7 CHI true MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BOULEVARD VALLEY CITY ND 58072 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER 1301 15TH AVENUE WEST WILLISTON ND 58801 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 HEALTHCARE IA 501(C)(3) 3 CHI-IA CORP true MERCY MEDICAL CENTER INC 2700 STEWART PARKWAY ROSEBURG OR 97470 HEALTHCARE OR 501(C)(3) 3 CHI true MERCY MEDICAL FOUNDATION 1301 15TH AVENUE WEST WILLISTON ND 58801 FUNDRAISING ND 501(C)(3) 11 - Type I MMC true MERCY PROFESSIONAL PRACTICE ASSOCIATES INC 1111 6TH AVENUE DES MOINES IA 50314 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP true MLIFECARES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 PROPERTY MGMT MO 501(C)(3) 11 - Type I SJRMC true MNMCH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE KS 501(C)(3) 3 SJRMC true MT ST JOSEPH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 NURSING CARE OR 501(C)(3) 11 - Type I CHI true NEBRASKA HEART HOSPITAL 7500 SOUTH 91ST STREET LINCOLN NE 68526 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true OAKES COMMUNITY HOSPITAL 314 SOUTH 8TH STREET OAKES ND 58474 HEALTHCARE ND 501(C)(3) 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH STREET OAKES ND 58474 FUNDRAISING ND 501(C)(3) 11 - Type I OCH true PUEBLO STEPUP 1925 EAST ORMAN AVE SUITE G52 PUEBLO CO 81004 COMMUNITY CO 501(C)(3) 7 CHIC true SET OF COLORADO SPRINGS INC 2864 S CIRCLE DRIVE SUITE 450 COLORADO SPRINGS CO 80906 LTERM CARE CO 501(C)(3) 7 CHIC true SAINT CLARE'S COMMUNITY CARE 25 POCONO ROAD DENVILLE NJ 07834 HEALTHCARE NJ 501(C)(3) 11 - Type II SCHS true SAINT CLARE'S FOUNDATION 25 POCONO ROAD DENVILLE NJ 07834 FUNDRAISING NJ 501(C)(3) 7 SCHS true SAINT CLARE'S HEALTH SERVICES INC 25 POCONO ROAD DENVILLE NJ 07834 MANAGEMENT NJ 501(C)(3) 7 CHI true SAINT CLARE'S HOSPITAL 25 POCONO ROAD DENVILLE NJ 07834 HEALTHCARE NJ 501(C)(3) 3 SCHS true SAINT ELIZABETH FOUNDATION 555 SOUTH 70TH STREET LINCOLN NE 68510 FUNDRAISING NE 501(C)(3) 7 SERMC true SAINT ELIZABETH HEALTH SERVICES 555 SOUTH 70TH STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 3 SERMC true SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 SOUTH 70TH STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER 2620 WEST FAIDLEY GRAND ISLAND NE 68803 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 FUNDRAISING NE 501(C)(3) 7 SFMC true SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL STREET BEREA KY 40403 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH HEALTH SYSTEM INC 424 LEWIS HARGETT CIRCLE 160 LEXINGTON KY 40503 HEALTHCARE KY 501(C)(3) 3 CHI true SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH MEDICAL FOUNDATION INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 PHY PRACTICES KY 501(C)(3) 3 SJHS true SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DRIVE MOUNT STERLING KY 40353 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH'S HOSPITAL FOUNDATION 30 WEST 7TH STREET DICKINSON ND 58601 FUNDRAISING ND 501(C)(3) 11 - Type I SJHHC true SAMARITAN BEHAVIORAL HEALTH 2222 PHILADELPHIA DRIVE DAYTON OH 45406 HEALTHCARE OH 501(C)(3) 3 SHP true SAMARITAN HEALTH FOUNDATION 2222 PHILADELPHIA DRIVE DAYTON OH 45406 FUNDRAISING OH 501(C)(3) 7 SHP true SAMARITAN HEALTH PARTNERS 110 NORTH MAIN STREET DAYTON OH 45402 HEALTHCARE OH 501(C)(3) 11 - Type I CHI true SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH STREET SCHUYLER NE 68661 FUNDRAISING NE 501(C)(3) 11 - Type I AHMHS true SJMGROUP 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 PHYS PRACTICE MO 501(C)(3) 9 SJRMC true SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE MO 501(C)(3) 3 CHI true SL AUGUSTA CORP PO BOX 20269 HOUSTON TX 77225 TITLE HOLDING TX 501(C)(2) N/A SL PROPERTIES true ST JOSEPH HEALTH MINISTRIES 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true ST LUKE'S MEDICAL TOWER CORPORATION 6624 FANNIN SUITE 1100 HOUSTON TX 77030 PROPERTY MGMT TX 501(C)(3) 11 - Type I SL PROPERTIES true ST ANTHONY HOSPITAL 1601 SE COURT AVENUE PENDLETON OR 97801 HEALTHCARE OR 501(C)(3) 3 CHI true ST ANTHONY HOSPITAL FOUNDATION 1601 SE COURT AVENUE PENDLETON OR 97801 FUNDRAISING OR 501(C)(3) 11 - Type I SA HOSPITAL true ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DRIVE MORRILTON AR 72110 HEALTHCARE AR 501(C)(3) 3 SVIMC true ST CATHERINE HOSPITAL 401 EAST SPRUCE STREET GARDEN CITY KS 67846 HEALTHCARE KS 501(C)(3) 3 CHI true ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE STREET GARDEN CITY KS 67846 FUNDRAISING KS 501(C)(3) 11 - Type I SCH true ST DOMINIC OF ONTARIO OREGON 351 SW 9TH STREET ONTARIO OR 97914 HEALTHCARE OR 501(C)(4) N/A CHI true ST FRANCIS HOME 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 LTERM CARE MN 501(C)(3) 9 CHI true ST FRANCIS LIFE CARE CORPORATION 19 POCONO ROAD DENVILLE NJ 07834 ELDERLY CARE NJ 501(C)(3) 9 SCHS true ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 HEALTHCARE MN 501(C)(3) 3 CHI true ST FRANCIS OF BAKER CITY 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE OR 501(C)(3) 3 CHI true ST JOHN'S MERCY REGIONAL FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 FUNDRAISING MO 501(C)(3) 7 SJRMC true ST JOSEPH COMMUNITY HEALTH 300 CENTRAL AVENUE SW ALBUQUERQUE NM 87102 COMMUNITY NM 501(C)(3) 11 - Type I CHI true ST JOSEPH HOSPITAL FOUNDATION INC ONE SAITN JOSEPH DRIVE LEXINGTON KY 40504 FUNDRAISING KY 501(C)(3) 11 - Type I SJHS true ST JOSEPH MEDICAL CENTER FOUNDATION 2500 BERNVILLE ROAD PO BOX 316 READING PA 19603 FUNDRAISING PA 501(C)(3) 11 - Type I SJRHN true ST JOSEPH MEDICAL CENTER FOUNDATION 7601 OSLER DRIVE TOWSON MD 21204 FUNDRAISING MD 501(C)(3) 7 SJMC true ST JOSEPH MEDICAL CENTER INC 7601 OSLER DRIVE TOWSON MD 21204 HEALTHCARE MD 501(C)(3) 3 CHI true ST JOSEPH MEDICAL GROUP 2500 BERNVILLE ROAD PO BOX 316 READING PA 19603 HEALTHCARE PA 501(C)(3) 9 BHC true ST JOSEPH PHYSICIAN ENTERPRISE INC 7601 OSLER DRIVE TOWSON MD 21204 PHYSICIANS MD 501(C)(3) 11 - Type I SJMC true ST JOSEPH REGIONAL HEALTH NETWORK 2500 BERNVILLE ROAD PO BOX 316 READING PA 19603 HEALTHCARE PA 501(C)(3) 3 CHI true ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVENUE PARK RAPIDS MN 56470 HEALTHCARE MN 501(C)(3) 3 CHI true ST JOSEPH'S HOSPITAL AND HEALTH CENTER 30 WEST 7TH STREET DICKINSON ND 58601 HEALTHCARE ND 501(C)(3) 3 CHI true ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - 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